Psoas Major

Origin:

Anterior lateral aspect of the lumbar vertebrae and their transverse processes.

Insertion:
Action:

Lesser trochanter
Hip flexor, external rotator, adductor

Psoas Minor
Origin:
Insertion:
Action:

Anterolateral surface of T12 and L1 vertebrae.

Superior ramus of pubis.
Posterior rotation of pelvis.

Tender Point:

Psoas Major
1. Roll into iliac fossa 2 cm above the superior ramus of pubis.
2. Posterior aspect of the L2 transverse process.
Psoas Minor
Superior ramus of pubis approximately 7 cm lateral to symphysis.

Treatment:

Psoas Major
Patient supine. Operator stands on the same side as tender point.
Flexion of hips from 90-110 degrees
Rotation of hips toward the tender point side. (Knee toward)
Side-bend of hips away from the tender point side. (Feet away)
Traction lift with hand under knees to traction.
Psoas Minor
Patient supine. Operator stands on the same side as the tender point.
Flexion of hips approximately 90 degrees
Side-bend of hips slight toward tender point
Traction lift with hand under knees to traction